Compliance with a novel hand hygiene protocol tailored to non-sterile healthcare workers in the operating theatre

Autor: van Dijk, M. D., Waltmans-den Breejen, C. M., Vermeeren, J. M.J.J., van den Berg, S., van Beeck, E. F., Vos, M. C.
Přispěvatelé: Medical Microbiology & Infectious Diseases, Erasmus School of History, Culture and Communication, Public Health
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of Hospital Infection, 131, 173-180. W.B. Saunders
ISSN: 0195-6701
Popis: Background: Observing hand hygiene compliance (HHC) among non-sterile healthcare workers (HCWs) in the operating theatre (OT) is challenging as there are no tailored protocols or observation tools. Aim: To develop and test a hand hygiene protocol tailored to non-sterile HCWs in the OT. Methods: In this prospective observational study, nine hospitals in the Rotterdam-Rijnmond region provided input on a draft protocol on hand hygiene in the OT, resulting in a new consensus protocol for the region. An observation tool based on the protocol was developed and tested. HHC rates with 95% confidence intervals (CI) were calculated by type of hospital and type of HCW. Findings: The protocol has three sections: (1) written general hand hygiene rules; (2) written hand hygiene rules specific for anaesthesia and surgery; and (3) visual representation of the OT, divided into four hand hygiene areas. Hand hygiene should be applied when changing area. Average HHC of 48.0% (95% CI 45.2–61.2%) was observed in OTs across all hospitals. HHC was highest in the two specialized hospitals (64.0%, 95% CI 30.6–89.8%; 76.7%, 95% CI 62.8–84.5%) and lowest in the academic teaching hospital (23.1%, 95% CI 0.0–45.8%). In terms of type of HCW, HHC was lowest among anaesthesiologists (31.6%, 95% CI 19.2–62.4%) and highest among OT assistants (57.4%, 95% CI 50.1–78.2%). Conclusion: This uniform way of observing HHC in the OT enables evaluation of the effectiveness of interventions in the OT and facilitates friendly competition. In the Rotterdam-Rijnmond region, HHC in the OT was below 50%; this needs to be addressed, particularly in teaching hospitals and among physicians.
Databáze: OpenAIRE
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